EF’s Team Members are Experts in Senior Living
Our principals and staff have outstanding reputations and hundreds of years’ combined experience advising, operating and owning senior care facilities. We’ve helped over 150 facilities with administrative, clinical, back office and financial support.
Bob Eisenstein, LNHA, LICSW
Founding Partner, EF, LLC
President, EF & Associates, LLC
Bob's Biography
Bob Eisenstein’s adult life has been spent caring for the physical and mental wellbeing of others. In addition to being a Licensed Nursing Home Administrator since 1990, Bob earned two Masters’ degrees in Social Work and in Public Health from Columbia University, and has been a Licensed Independent Clinical Social Worker in Massachusetts since 1995.
Bob has experience in a variety of settings including mental health centers, acute care hospitals, skilled nursing facilities and senior living communities. He was recognized as the MASS-ALA “Executive Director of the Year” and serves on the Board of the Long Term Care Finance Association.
In addition to strong management, clinical and social work skills, Bob has a passion for teaching and serves as an adjunct professor at both Fisher College and Quincy College.
Bob combines professional excellence with an open, caring demeanor that brings out the best in staff, connects with residents, and builds sustainable excellence in the facilities where he’s served.
If you’re facing challenges with your culture, your caregiving, or your compliance, give Bob a call. He’s ready to listen.
Bob Eisenstein’s adult life has been spent caring for the physical and mental wellbeing of others. In addition to being a Licensed Nursing Home Administrator since 1990, Bob earned two Masters’ degrees in Social Work and in Public Health from Columbia University, and has been a Licensed Independent Clinical Social Worker in Massachusetts since 1995.
Bob has experience in a variety of settings including mental health centers, acute care hospitals, skilled nursing facilities and senior living communities. He was recognized as the MASS-ALA “Executive Director of the Year” and serves on the Board of the Long Term Care Finance Association.
In addition to strong management, clinical and social work skills, Bob has a passion for teaching and serves as an adjunct professor at both Fisher College and Quincy College.
Bob combines professional excellence with an open, caring demeanor that brings out the best in staff, connects with residents, and builds sustainable excellence in the facilities where he’s served.
If you’re facing challenges with your culture, your caregiving, or your compliance, give Bob a call. He’s ready to listen.
Patrick Flaherty
Founding Partner, EF, LLC
President, EF Ally, LLC
Patricks's Biography
Patrick Flaherty stands above the crowd. And if you’ve met Patrick, at 6’9” tall, you know we mean this literally.
But we also mean this figuratively. After captaining the Brown University basketball team, Patrick worked at several technology companies after graduation. Patrick then decided he wanted to make a more direct impact on those in need, so he started a home health care business that has grown to 150 caregivers who’ve helped hundreds of individuals and their families during some of the most vulnerable times in their lives.
But Patrick didn’t stop there. When Patrick met Bob Eisenstein and Matt Muratore, he identified people who shared his work ethic and ethos about being caregivers first, and business people second. Together, they launched Eisenstein Flaherty & Associates with the goal of helping senior care facilities deliver better care to as many residents as possible. And they’ve succeeded. Since 2018, they’ve consulted with over 100 facilities in Massachusetts helping them improve clinical outcomes while strengthening their bottom lines.
And Patrick’s commitment to the community is as big as he is. In addition to running two successful businesses, in 2019, he ran for and was elected to the Plymouth, MA Select Board. Patrick’s contributions to his community and industry were recognized in 2022, when Patrick was named a “Future Leader” (40 Under 40) by Skilled Nursing News for his achievements in the field.
So if you’re responsible for operating a senior care facility and need some help, don’t hesitate to give Patrick a call. He’ll be more than happy to look over your shoulder and give you some helpful advice.
Patrick Flaherty stands above the crowd. And if you’ve met Patrick, at 6’9” tall, you know we mean this literally.
But we also mean this figuratively. After captaining the Brown University basketball team, Patrick worked at several technology companies after graduation. Patrick then decided he wanted to make a more direct impact on those in need, so he started a home health care business that has grown to 150 caregivers who’ve helped hundreds of individuals and their families during some of the most vulnerable times in their lives.
But Patrick didn’t stop there. When Patrick met Bob Eisenstein and Matt Muratore, he identified people who shared his work ethic and ethos about being caregivers first, and business people second. Together, they launched Eisenstein Flaherty & Associates with the goal of helping senior care facilities deliver better care to as many residents as possible. And they’ve succeeded. Since 2018, they’ve consulted with over 100 facilities in Massachusetts helping them improve clinical outcomes while strengthening their bottom lines.
And Patrick’s commitment to the community is as big as he is. In addition to running two successful businesses, in 2019, he ran for and was elected to the Plymouth, MA Select Board. Patrick’s contributions to his community and industry were recognized in 2022, when Patrick was named a “Future Leader” (40 Under 40) by Skilled Nursing News for his achievements in the field.
So if you’re responsible for operating a senior care facility and need some help, don’t hesitate to give Patrick a call. He’ll be more than happy to look over your shoulder and give you some helpful advice.
Matt Muratore, LNHA
Founding Partner, EF, LLC
President EF Investment Company, LLC
Matt's Biography
Matt Muratore started working in a skilled nursing home when he was still in high school and continued working in senior care facilities throughout college. He became a licensed nursing home administrator in 1991. For the past 30 years, Matt has dedicated this professional life to improving the quality of life for residents of senior care facilities across Massachusetts including executive roles in over a dozen facilities.
Matt’s commitment to service extended beyond caregiving into public service in 2010 when he was elected to the Plymouth, MA Select Board. In 2014, Matt was elected as the State Representative from First Plymouth District, a position he still holds today.
As the only elected Licensed Nursing Home Administrator in the State Legislature, Matt makes sure the voices of the vulnerable and those committed to serving them are heard at the highest levels of state government. Matt was appointed to serve on the 2019-2020 Massachusetts Nursing Facility Task Force that is helping to shape the future of senior care in the Commonwealth.
So if you’re looking for someone who operates at the nexus of high quality care, outstanding facility operations, and an understanding of the government’s role in supporting these outcomes, give Matt a call. No matter where you live in the State, Matt’s committed to helping you.
Matt Muratore started working in a skilled nursing home when he was still in high school and continued working in senior care facilities throughout college. He became a licensed nursing home administrator in 1991. For the past 30 years, Matt has dedicated this professional life to improving the quality of life for residents of senior care facilities across Massachusetts including executive roles in over a dozen facilities.
Matt’s commitment to service extended beyond caregiving into public service in 2010 when he was elected to the Plymouth, MA Select Board. In 2014, Matt was elected as the State Representative from First Plymouth District, a position he still holds today.
As the only elected Licensed Nursing Home Administrator in the State Legislature, Matt makes sure the voices of the vulnerable and those committed to serving them are heard at the highest levels of state government. Matt was appointed to serve on the 2019-2020 Massachusetts Nursing Facility Task Force that is helping to shape the future of senior care in the Commonwealth.
So if you’re looking for someone who operates at the nexus of high quality care, outstanding facility operations, and an understanding of the government’s role in supporting these outcomes, give Matt a call. No matter where you live in the State, Matt’s committed to helping you.
Mike Nickolaus, MBA
Partner & Chief Executive Officer
EF, LLC
Mike's Biography
Mike Nickolaus is a seasoned executive with over three decades’ experience operating businesses serving regulated industries and the public sector. His management roles stretch from start-ups, through small and mid-size companies, to divisions of multi-billion dollar corporations. And through it all, he’s learned to value and develop team players.
Mike’s experience growing businesses includes marketing & business development, mergers and acquisitions, revenue enhancement strategies, contract negotiations, and operations management.
He’s successfully grown companies through all stages of their business lifecycle by designing and executing creative approaches, developing innovative technology solutions, and building talented, high-performing teams.
So if your team needs strengthening, don’t hesitate to contact Mike. He and his EF colleagues would love to help.
Mike Nickolaus is a seasoned executive with over three decades’ experience operating businesses serving regulated industries and the public sector. His management roles stretch from start-ups, through small and mid-size companies, to divisions of multi-billion dollar corporations. And through it all, he’s learned to value and develop team players.
Mike’s experience growing businesses includes marketing & business development, mergers and acquisitions, revenue enhancement strategies, contract negotiations, and operations management.
He’s successfully grown companies through all stages of their business lifecycle by designing and executing creative approaches, developing innovative technology solutions, and building talented, high-performing teams.
So if your team needs strengthening, don’t hesitate to contact Mike. He and his EF colleagues would love to help.
Karen Bain, RN, BS
Chief Nursing Officer
EF, LLC
Karen's Biography
Karen Bain’s passions are caregiving and educating. A Registered Nurse since 1993, she spent 10 years as a health instructor and school nurse at various secondary and elementary schools. Today, she’s a Certified Infection Control Preventionist, an American Heart Association Instructor, a frequent presenter at industry forums, and oversees a team of Nurses at Eisenstein Flaherty who help our clients deliver outstanding care.
Her professional accomplishments and growth are equally easy to see. In 2008, she started as a nurse at an Assisted Living Facility and, over the next 11 years, was promoted to Resident Care Director, selected as the organization’s “Outstanding Manager of the Year”, promoted to Regional Director for Resident Care for 28 facilities, and finally promoted to Vice President where she managed a team of six Regional Directors of Resident Care, six Clinical Nurse Specialists and a Corporate Director of Memory Care.
Now, as EF’s Chief Nursing Officer, her commitment to continuous development in herself and her staff helps dozens of organizations with whom she now works. If you’d like to join that list of facilities benefitting from Karen’s compassion and competence, give her a call. She’d love to hear from you.
Karen Bain’s passions are caregiving and educating. A Registered Nurse since 1993, she spent 10 years as a health instructor and school nurse at various secondary and elementary schools. Today, she’s a Certified Infection Control Preventionist, an American Heart Association Instructor, a frequent presenter at industry forums, and oversees a team of Nurses at Eisenstein Flaherty who help our clients deliver outstanding care.
Her professional accomplishments and growth are equally easy to see. In 2008, she started as a nurse at an Assisted Living Facility and, over the next 11 years, was promoted to Resident Care Director, selected as the organization’s “Outstanding Manager of the Year”, promoted to Regional Director for Resident Care for 28 facilities, and finally promoted to Vice President where she managed a team of six Regional Directors of Resident Care, six Clinical Nurse Specialists and a Corporate Director of Memory Care.
Now, as EF’s Chief Nursing Officer, her commitment to continuous development in herself and her staff helps dozens of organizations with whom she now works. If you’d like to join that list of facilities benefitting from Karen’s compassion and competence, give her a call. She’d love to hear from you.
Joseph Veno
President
EF Senior Living Management, LLC
Joseph's Biography
Before Joe Veno graduated high school, he’d already held numerous positions in skilled nursing facilities starting as a dietary aide, then a cook, then in housekeeping and maintenance, and finally as a ward clerk. So you know that he has been committed to caring for elders and other vulnerable residents for most of his life. He later served as a supply coordinator, an assistant administrator and, in 1996 when he graduated from college, he was licensed as a Nursing Home Administrator in Massachusetts. Since then he’s served as the permanent or interim administrator in over a dozen skilled nursing facilities. The hallmark of Joe’s professional career has been a commitment to delivering outstanding care. Joe believes that high quality care is the purpose of our industry and the foundation of any financially sound operation. This belief led him to found and operate his own nursing home management company for 11 years.
Joe joined our team in 2020 because he recognized a set of values in the EF principals that aligned with his own, and he saw an organization with the breadth and resources to help more facilities deliver better care for more residents across Massachusetts. Joe’s not afraid to jump into challenging situations, roll up his sleeves, and work around the clock with our clients to ensure high quality care. And he does this with humor, candor, and passion, as his many trusted clients will gladly attest.
So if you’re experiencing a crisis or want to avoid one, give Joe a call. When you’re done working with him, you won’t just have solved a problem and gained a professional colleague, you’ll have made a friend.
Before Joe Veno graduated high school, he’d already held numerous positions in skilled nursing facilities starting as a dietary aide, then a cook, then in housekeeping and maintenance, and finally as a ward clerk. So you know that he has been committed to caring for elders and other vulnerable residents for most of his life. He later served as a supply coordinator, an assistant administrator and, in 1996 when he graduated from college, he was licensed as a Nursing Home Administrator in Massachusetts. Since then he’s served as the permanent or interim administrator in over a dozen skilled nursing facilities. The hallmark of Joe’s professional career has been a commitment to delivering outstanding care. Joe believes that high quality care is the purpose of our industry and the foundation of any financially sound operation. This belief led him to found and operate his own nursing home management company for 11 years.
Joe joined our team in 2020 because he recognized a set of values in the EF principals that aligned with his own, and he saw an organization with the breadth and resources to help more facilities deliver better care for more residents across Massachusetts. Joe’s not afraid to jump into challenging situations, roll up his sleeves, and work around the clock with our clients to ensure high quality care. And he does this with humor, candor, and passion, as his many trusted clients will gladly attest.
So if you’re experiencing a crisis or want to avoid one, give Joe a call. When you’re done working with him, you won’t just have solved a problem and gained a professional colleague, you’ll have made a friend.
Beth Manny
VP of Revenue Cycle Management
EF, LLC
Beth's Biography
Beth Manny has been working in the Senior Living Industry since college while pursuing her Accounting Degree. She began at a hospital-based Skilled Nursing Facility cutting her teeth with Payroll, Accounts Payable and Billing. She then assisted with the start-up of the Business Office and Admission Process for a newly-built, 183-bed SNF where occupancy went from zero to 90% in a few weeks. She continued her career managing Accounts Receivables in various settings including short term rehabilitation centers, long term care facilities, and a neuro-behavioral facility where she was responsible for obtaining out of state and new provider contracts. She subsequently managed and mentored a team responsible for marketing.
Across 30 years, Beth has directed and developed multiple Central Business Offices for groups of senior living facilities including turning around underperforming ones requiring new systems and procedures.
If you need a comprehensive review of your Revenue Cycle approach to optimize collections and minimize bad debt, call Beth. She’ll review your accounts receivable operation, identify your strengths and weaknesses, and improve your cashflow. If you need more hands-on help, Beth leads an experienced team that can take on this responsibility for you and your facility.
In either case, give Beth a call and let Manny show you the money.
Beth Manny has been working in the Senior Living Industry since college while pursuing her Accounting Degree. She began at a hospital-based Skilled Nursing Facility cutting her teeth with Payroll, Accounts Payable and Billing. She then assisted with the start-up of the Business Office and Admission Process for a newly-built, 183-bed SNF where occupancy went from zero to 90% in a few weeks. She continued her career managing Accounts Receivables in various settings including short term rehabilitation centers, long term care facilities, and a neuro-behavioral facility where she was responsible for obtaining out of state and new provider contracts. She subsequently managed and mentored a team responsible for marketing.
Across 30 years, Beth has directed and developed multiple Central Business Offices for groups of senior living facilities including turning around underperforming ones requiring new systems and procedures.
If you need a comprehensive review of your Revenue Cycle approach to optimize collections and minimize bad debt, call Beth. She’ll review your accounts receivable operation, identify your strengths and weaknesses, and improve your cashflow. If you need more hands-on help, Beth leads an experienced team that can take on this responsibility for you and your facility.
In either case, give Beth a call and let Manny show you the money.
Danielle Dang
VP of Clinical Reimbursement
EF, LLC
Danielle's Biography
Danielle Dang is recognized as an expert among long-term care operators and clinicians for Reimbursement and Regulatory matters, Audits and Analysis, Enhancing Operational Efficiency, Education and Training, and Technology deployments. Danielle combines clinical expertise with regulatory reimbursement knowledge to assist clients with developing high-performing financial operation teams, and she has trained and supported thousands of clinicians, financial professionals, Administrators, and Operators.
As a Registered Nurse with over two decades of work experience, she has worked in MDS Coordination/Case Mix, Clinical Reimbursement, Compliance, Denials Management, and Billing for large long-term care organizations across numerous states. She has been involved in the RAI PPS process since 1997 and has considerable expertise in the MDS and RAI process, the prospective payment system (PPS/PDPM), MDS Medicaid Case Mix, MMQ, and ICD-10 from both the clinical and financial perspective.
Danielle also provides EHR database management, clinical configuration, business process maintenance, and technical support. She enjoys applying her passion for organization, data, and software to serve the long-term care community, including developing custom documentation systems to improve nursing efficiency and productivity and reduce unnecessary caregiver burden.
If you need help optimizing reimbursement, ensuring compliance and billing integrity or strengthening your financial operations team, Danielle can help.
Danielle Dang is recognized as an expert among long-term care operators and clinicians for Reimbursement and Regulatory matters, Audits and Analysis, Enhancing Operational Efficiency, Education and Training, and Technology deployments. Danielle combines clinical expertise with regulatory reimbursement knowledge to assist clients with developing high-performing financial operation teams, and she has trained and supported thousands of clinicians, financial professionals, Administrators, and Operators.
As a Registered Nurse with over two decades of work experience, she has worked in MDS Coordination/Case Mix, Clinical Reimbursement, Compliance, Denials Management, and Billing for large long-term care organizations across numerous states. She has been involved in the RAI PPS process since 1997 and has considerable expertise in the MDS and RAI process, the prospective payment system (PPS/PDPM), MDS Medicaid Case Mix, MMQ, and ICD-10 from both the clinical and financial perspective.
Danielle also provides EHR database management, clinical configuration, business process maintenance, and technical support. She enjoys applying her passion for organization, data, and software to serve the long-term care community, including developing custom documentation systems to improve nursing efficiency and productivity and reduce unnecessary caregiver burden.
If you need help optimizing reimbursement, ensuring compliance and billing integrity or strengthening your financial operations team, Danielle can help.
Kelly Marcimo
VP of Sales & Marketing
EF, LLC
Kelly's Biography
The 2010 Gulf of Mexico Deepwater oil spill may seem like a strange entry point into the senior living industry.
But for Kelly Marcimo, that environmental crisis inspired her to find a career that would connect with and help her community. Before long, Kelly was working for her hometown senior living community in Shrewsbury, MA. As a third-generation resident and community volunteer, it was particularly rewarding that nearly every family she met shared a connection with her or her family.
In 2014, Kelly moved to Cape Cod to open a brand-new senior living community, Keystone Place in Bourne. She sold 35% of the community in 8 months prior to opening. Despite two other new senior living communities opening within a 10-mile radius, she achieved 90% occupancy within 18 months, including 100% occupancy for the Independent Living units within 5 months. As a key member of the leadership team, she aided in developing the space and assisted the Executive Director in hiring department heads. Kelly established a strong community presence as a “washashore,” serving on the Cape Cod Canal Regional Chamber of Commerce and rising to Chair in four years.
Kelly’s sales success derives from her genuine concern for others and a natural ability to connect and build relationships.
Kelly also has marketing experience, including B2B advertising and senior living lead generation through direct mail and digital campaigns.
Since joining EF in 2019, Kelly has successfully consulted with a number of our clients to address and overcome their sales and marketing challenges.
So, if you face a challenge with occupancy in your senior living community, let Kelly’s commitment to “connection” work for you.
The 2010 Gulf of Mexico Deepwater oil spill may seem like a strange entry point into the senior living industry.
But for Kelly Marcimo, that environmental crisis inspired her to find a career that would connect with and help her community. Before long, Kelly was working for her hometown senior living community in Shrewsbury, MA. As a third-generation resident and community volunteer, it was particularly rewarding that nearly every family she met shared a connection with her or her family.
In 2014, Kelly moved to Cape Cod to open a brand-new senior living community, Keystone Place in Bourne. She sold 35% of the community in 8 months prior to opening. Despite two other new senior living communities opening within a 10-mile radius, she achieved 90% occupancy within 18 months, including 100% occupancy for the Independent Living units within 5 months. As a key member of the leadership team, she aided in developing the space and assisted the Executive Director in hiring department heads. Kelly established a strong community presence as a “washashore,” serving on the Cape Cod Canal Regional Chamber of Commerce and rising to Chair in four years.
Kelly’s sales success derives from her genuine concern for others and a natural ability to connect and build relationships.
Kelly also has marketing experience, including B2B advertising and senior living lead generation through direct mail and digital campaigns.
Since joining EF in 2019, Kelly has successfully consulted with a number of our clients to address and overcome their sales and marketing challenges.
So, if you face a challenge with occupancy in your senior living community, let Kelly’s commitment to “connection” work for you.
Carla Soares
Field Account Manager
EF, LLC
Carla's Biography
Carla Soares started working as a Certified Nursing Assistant in a Skilled Nursing Facility when she was still in high school, and after three decades she remains dedicated to improving the lives of elderly residents and the communities in which they live.
After 2 years as a CNA, she transitioned from direct care into the front office as a receptionist. She’s subsequently held numerous Business Office and Finance Department roles, including Accounts Payable, Accounts Receivable and Payroll.
In these roles, Carla has developed expertise in optimizing collections, minimizing bad debt, auditing financial activities, and ensuring compliance. Her roles have included regional responsibility for up to 50 senior care facilities, where she has managed the delivery of training, resolved system issues, managed collections, and coordinated responses to DPH financial survey tags for major operators.
If you’re wondering whether your Business Office, Financial Management, and Revenue Cycle functions are performing at the highest levels or could use a tune-up, let Carla and the EF Senior Care team take a quick look. Whatever we find, you’ll sleep better knowing your efficiency and cash flow are optimized going forward.
Carla Soares started working as a Certified Nursing Assistant in a Skilled Nursing Facility when she was still in high school, and after three decades she remains dedicated to improving the lives of elderly residents and the communities in which they live.
After 2 years as a CNA, she transitioned from direct care into the front office as a receptionist. She’s subsequently held numerous Business Office and Finance Department roles, including Accounts Payable, Accounts Receivable and Payroll.
In these roles, Carla has developed expertise in optimizing collections, minimizing bad debt, auditing financial activities, and ensuring compliance. Her roles have included regional responsibility for up to 50 senior care facilities, where she has managed the delivery of training, resolved system issues, managed collections, and coordinated responses to DPH financial survey tags for major operators.
If you’re wondering whether your Business Office, Financial Management, and Revenue Cycle functions are performing at the highest levels or could use a tune-up, let Carla and the EF Senior Care team take a quick look. Whatever we find, you’ll sleep better knowing your efficiency and cash flow are optimized going forward.
Crystal Louro
Business Office Services Analyst
EF, LLC
Crystal's Biography
Crystal Louro has been working in the Senior Living industry since college when she got her first skilled nursing facility job as the part time night receptionist.
From there, she worked her way into the business office becoming an expert in accounts payable, accounts receivables and resident personal needs accounts before becoming an Assistant Business Office Manager. While Crystal loved working in a facility and interacting with the residents and their families, when the need arose, she shifted into a central billing office role to help turnaround multiple underperforming facilities that required new systems and procedures to remain compliant with state regulations.
She subsequently moved to a Medicare Advantage senior health plan where she served as a SNF Provider Relations Representative for almost a dozen years using her expertise to educate and train staff with numerous operators on properly submitting reimbursement claims.
With her in-depth knowledge of all aspects of business office operations and reimbursement, EF Senior Care was delighted when Crystal joined us as an invaluable member of our Business Office Services team.
Crystal Louro has been working in the Senior Living industry since college when she got her first skilled nursing facility job as the part time night receptionist.
From there, she worked her way into the business office becoming an expert in accounts payable, accounts receivables and resident personal needs accounts before becoming an Assistant Business Office Manager. While Crystal loved working in a facility and interacting with the residents and their families, when the need arose, she shifted into a central billing office role to help turnaround multiple underperforming facilities that required new systems and procedures to remain compliant with state regulations.
She subsequently moved to a Medicare Advantage senior health plan where she served as a SNF Provider Relations Representative for almost a dozen years using her expertise to educate and train staff with numerous operators on properly submitting reimbursement claims.
With her in-depth knowledge of all aspects of business office operations and reimbursement, EF Senior Care was delighted when Crystal joined us as an invaluable member of our Business Office Services team.